MIRZA CONCEPCION GAMBOA

SOMERVILLE, NJ
NPI1659017598
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA00644000)
Enumeration Date2022-05-11
Last Update Date2022-05-11
Business Address
MIRZA CONCEPCION GAMBOA
110 REHILL AVE
SOMERVILLE, NJ 08876-2519
Phone number: 908-595-2388
Mailing Address
MIRZA CONCEPCION GAMBOA
30 RICHMAR CT
FREEHOLD, NJ 07728-9376
Phone number: 732-489-6604